NR 546 Advanced Pharmacology Psychopharmacology for the Psychiatric-
Mental Health Nurse Practitioner
Midterm Exam
1. A 22-year-old patient recently diagnosed with bipolar disorder and states "I'm
not crazy" and is refusing to take his prescribed medication. Which type of factor
is contributing to this patient's nonadherence?
A. Client factors
B. Clinician factors
C. Structural factors
D. Environmental factors
:Ans>> C. Structural factors
,2. Using Dell'Osso et al.'s sequential framework of priorities to promote med-
ication adherence, determine which step is being defined
:Ans>> The PMHNP ex- plains the mechanism of action, anticipated time to
experience effects, side effects, and lifestyle instructions to a patient after
prescribing Wellbutrin.
A. Diagnosis
B. Medication education
C. Monitoring plan
D. Adherence reinforcement
:Ans>> B. Medication education
3. A patient recovering from a stroke has trouble with speech comprehension and
works with a speech therapist twice a week. Which part of the patient's brain has
been affected by the stroke?
A. The Broca's area
B. The Basal ganglia
C. The Limbic system
, D. The Wernicke's area
:Ans>> D. The Wernicke's area
4. Which of the following poses a potential ethical concern when prescribing
psychiatric medications?
A. The patient is homeless and uninsured
B. The patient poses a risk to themself as they state they are experiencing very scary
auditory and visual hallucinations
C. The patient's family voices a stigma against psychiatric medications
D. The patient states they worry about the potential side effects of the med-
ication
:Ans>> B. The patient poses a risk to themself as they state they are experiencing very
scary auditory and visual hallucinations
5. What is the name of the lobe that controls visual processing?
A. Gyrus
B. Frontal Lobe
C. Occipital Lobe
Mental Health Nurse Practitioner
Midterm Exam
1. A 22-year-old patient recently diagnosed with bipolar disorder and states "I'm
not crazy" and is refusing to take his prescribed medication. Which type of factor
is contributing to this patient's nonadherence?
A. Client factors
B. Clinician factors
C. Structural factors
D. Environmental factors
:Ans>> C. Structural factors
,2. Using Dell'Osso et al.'s sequential framework of priorities to promote med-
ication adherence, determine which step is being defined
:Ans>> The PMHNP ex- plains the mechanism of action, anticipated time to
experience effects, side effects, and lifestyle instructions to a patient after
prescribing Wellbutrin.
A. Diagnosis
B. Medication education
C. Monitoring plan
D. Adherence reinforcement
:Ans>> B. Medication education
3. A patient recovering from a stroke has trouble with speech comprehension and
works with a speech therapist twice a week. Which part of the patient's brain has
been affected by the stroke?
A. The Broca's area
B. The Basal ganglia
C. The Limbic system
, D. The Wernicke's area
:Ans>> D. The Wernicke's area
4. Which of the following poses a potential ethical concern when prescribing
psychiatric medications?
A. The patient is homeless and uninsured
B. The patient poses a risk to themself as they state they are experiencing very scary
auditory and visual hallucinations
C. The patient's family voices a stigma against psychiatric medications
D. The patient states they worry about the potential side effects of the med-
ication
:Ans>> B. The patient poses a risk to themself as they state they are experiencing very
scary auditory and visual hallucinations
5. What is the name of the lobe that controls visual processing?
A. Gyrus
B. Frontal Lobe
C. Occipital Lobe
